| NPI | 1477895019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008696) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P006368) |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2019-09-16 |